| NPI | 1205366937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SWEET Billing Manager 281-730-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00318) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |